About Optical Internal Urethrotomy Long
Key Highlights
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Minimally invasive procedure with no external incisions.Performed under spinal or general anesthesia for patient comfort.Utilizes direct optical visualization for precise and controlled cutting.Primarily a day-care or short-stay procedure, reducing hospitalization time.Effective for treating long-segment urethral strictures.Quicker recovery and return to normal activities compared to open urethroplasty.liImmediate improvement in urinary flow for most patients./li/ul
Who is this surgery for?
- Long urethral strictures (typically >2 cm) causing significant obstruction.
- Recurrent strictures that have not responded adequately to shorter OIU or dilation.
- Strictures located in the bulbar or penile urethra.
- Patients experiencing symptoms like poor urinary stream, straining, incomplete emptying, or urinary retention.
- Recurrent urinary tract infections (UTIs) due to poor bladder drainage.
- As a diagnostic and therapeutic procedure when the exact stricture length and characteristics need assessment.
How to prepare
- Complete pre-anesthetic check-up including blood tests, ECG, and chest X-ray as advised.
- Informed consent detailing the procedure, benefits, and potential risks.
- Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as per surgeon's instructions.
- Fasting for 6-8 hours before the procedure if general anesthesia is planned.
- Treatment of any active urinary tract infection with antibiotics prior to surgery.
- A discussion about post-procedure catheterization and its expected duration.
Risks & possible complications
- Bleeding from the incision site in the urethra (hematuria).
- Infection, including urinary tract infection (UTI) or, rarely, epididymitis.
- Perforation of the urethra or false passage creation.
- Recurrence of the stricture, which is a common long-term risk.
- Scarring at the incision site leading to re-stricture.
- Pain or discomfort during urination in the initial recovery period.
- Rare risks include injury to surrounding structures or urinary incontinence.
Recovery & hospital stay
- A urinary catheter is typically left in place for 3-7 days to allow the urethra to heal.
- Drink plenty of water (2-3 liters daily) to flush the urinary system.
- Antibiotics and pain medications will be prescribed to prevent infection and manage discomfort.
- Avoid strenuous activities, heavy lifting, and cycling for 2-3 weeks.
- Expect some blood in the urine (hematuria) for the first few days.
- Follow-up visits are crucial to monitor healing and assess urine flow.
- Report any signs of fever, severe pain, inability to urinate after catheter removal, or heavy bleeding immediately.
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Typical hospital stay: 1-2 days
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Expected recovery time: 2-3 weeks
Frequently Asked Questions
If you are considering optical internal urethrotomy long in India, these questions and answers can help you make a confident, informed decision.
Popular choices for optical internal urethrotomy long in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform optical internal urethrotomy long. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for optical internal urethrotomy long compare across other countries where we have data.
Top hospitals for Optical Internal Urethrotomy Long in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing optical internal urethrotomy long.
Navya Malhotra, a 42-year-old graphic designer...
Navya Malhotra, a 42-year-old graphic designer and mother of two, had been struggling for over a year. Her history of recurrent urinary tract infections had escalated into a constant, nagging discomfort. The real trouble began when urinating became a slow, straining effort, often accompanied by a sharp, burning pain. She felt constantly tired from interrupted sleep due to frequent nighttime trips to the bathroom that yielded little relief. Her urologist, after a cystoscopy, diagnosed a dense, ring-like urethral stricture, a narrowing of the tube from her bladder, likely from scar tissue from past infections. He recommended an Optical Internal Urethrotomy (OIU Long), explaining it as a minimally invasive procedure to visually guide a small blade and cut open the scar tissue, restoring a normal flow. Navya was terrified of the idea of a blade near such a sensitive area but was desperate for a solution. The procedure itself, under spinal anesthesia, was painless. She felt pressure but no pain. The immediate aftermath in recovery was the most challenging part, with significant burning with her first few urinations and a temporary catheter for five days, which she found uncomfortable and inconvenient. However, after the catheter was removed, the difference was profound. The weak, straining stream was gone, replaced by a strong, effortless flow. The constant pelvic pressure vanished. Six weeks post-procedure, with the help of periodic self-dilation to prevent recurrence, Navya felt like herself again. Her emotional journey moved from frustration and fear of a chronic, embarrassing problem to immense relief and regained confidence. She no longer planned her day around bathroom access and could finally enjoy long outings with her children without anxiety.
Urologists for Optical Internal Urethrotomy Long
Explore experienced urologists who regularly perform optical internal urethrotomy long and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore